We are in the process of establishing a procedural sedation program.
Hoping some of you would share your policies and procedural
Training guide, staff quiz, patient info sheets, procedural consent forms
and documentation sheets would all be welcome.
Thank you in advance,
PEM lead and senior staff specialist
Ramsay-Peel Health Campus E.D.
Greenfields, West Australia
On Sat, Aug 10, 2013 at 8:05 AM, JLowe <[log in to unmask]> wrote:
> I think lortab elixir is 0.1 mg/kg/dose.
> 1 mg/kg seems really high to me...
> I agree with everything else.
> On Thu, Aug 8, 2013 9:00 PM PDT PED-EM-L automatic digest system wrote:
> >I think the real question is why use codeine at all in children when
> >there is a better alternative.
> >Our pediatric pain committee director send me the attached memo from
> >the WHO regarding codeine and since reading that, I've stopping using
> >codeine all together.
> >To quickly summarize: codeine is a prodrug and needs to be converted
> >to morphine to provide any pain relief. A significant percentage of
> >the population does not have this enzyme. What I learned from the
> >article is that even if you have the enzyme, you are born with only
> >about 1% of it and by age 5 you still have less than 25% of the
> >enzyme. In other words for children under 5, you get very little pain
> >I now use lortab elixir (hydrocodone/acetaminophen). It's dosed 1-2
> >mg/kg/dose based on the hydrocodone component. This has become my go
> >to with bad stomatitis, clavicle fractures and any other painful
> >conditions where Tylenol and Motrin aren't cutting it. It is also
> >approved as a cough suppressant, though I only do this on rare
> >Hope that helps,
> >Bill Schroeder
> >Sent from my iPhone
> >On Aug 7, 2013, at 12:17 PM, don zweig <[log in to unmask]> wrote:
> >> So if codeine containing cough syrup is "contraindicated" for kids
> under 6 and over 2 is it contraindicated for pain relief too? what's up
> with this?
> >> don
> >> For more information, send mail to [log in to unmask] with
> the message: info PED-EM-L
> >> The URL for the PED-EM-L Web Page is:
> >> http://listserv.brown.edu/ped-em-l.html
> >For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> >The URL for the PED-EM-L Web Page is:
> > http://listserv.brown.edu/ped-em-l.html
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
JACK J SPRINGER,MD
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